| NPI | 1679214282 |
|---|---|
| Other Name | CARLOS J PEREZ KERKVLIET |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT226833) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-09-10 |